PT  - JOURNAL ARTICLE
AU  - Giacomo Mori
AU  - Gaetano Alfano
AU  - Francesco Fontana
AU  - Riccardo Magistroni
TI  - Hybrid dialysis: a promising strategy to reduce hospital access during the SARS-CoV-2 pandemic
AID  - 10.1136/bcr-2020-236411
DP  - 2020 Oct 01
TA  - BMJ Case Reports
PG  - e236411
VI  - 13
IP  - 10
4099  - http://casereports.bmj.com/content/13/10/e236411.short
4100  - http://casereports.bmj.com/content/13/10/e236411.full
SO  - BMJ Case Reports2020 Oct 01; 13
AB  - In March 2020, a 74-year-old man affected by end-stage renal disease and on peritoneal dialysis was referred to an emergency room in Modena, Northern Italy, due to fever and respiratory symptoms. After ruling out COVID-19 infection, a diagnosis of chronic obstructive pulmonary disease exacerbation was confirmed and he was thus transferred to the nephrology division. Physical examination and blood tests revealed a positive fluid balance and insufficient correction of the uraemic syndrome, although peritoneal dialysis prescription was maximised. After discussion with the patient and his family, the staff decided to start hybrid dialysis, consisting of once-weekly in-hospital haemodialysis and home peritoneal dialysis for the remaining days. He was discharged at the end of the antibiotic course, after an internal jugular vein central venous catheter placement and the first haemodialysis session. This strategy allowed improvement of depuration parameters and avoidance of frequent access to the hospital, which is crucial in limiting exposure to SARS-CoV-2 in an endemic setting.